Nonvascularized autogenous bone graft for extensive phalangeal bone loss: case report.
A 47-year-old man, a fine woodworker, sustained extensive phalangeal and soft tissue loss of his dominant left long and index fingers in a table saw injury. We report the long-term clinical and radiographic outcomes of the patient following reconstruction with corticocancellous iliac crest bone grafts. Rarely described in recent literature, we believe that primary nonvascularized autogenous bone grafting for phalangeal reconstruction is a worthwhile alternative to amputation when the soft tissue envelope is satisfactory.
Barron
O Alton
OA
C.V. Starr Hand Surgery Center, New York, NY 10019, USA. oabarron@msn.com
Sohal
Jennifer
J
McCulloch
Kenneth
K
Chia
Benjamin
B
D016025:Bone Transplantation / Q000379:methods*; D005383:Finger Injuries / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D050278:Finger Phalanges / Q000293:injuries* / Q000601:surgery; D005500:Follow-Up Studies; D006085:Graft Survival; D018737:Hand Strength; D006801:Humans; D007085:Ilium / Q000098:blood supply / Q000637:transplantation*; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D018570:Risk Assessment; D014182:Transplantation, Autologous; D016896:Treatment Outcome